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Women who desire larger breasts may wish to have a breast enlargement (augmentation) procedure. Breast augmentation may also be indicated for women who have one breast that is noticeably smaller than the other. Breast augmentation is intended to give the patient larger and more shapely breasts. A more positive self image may also be a result of breast enlargement. Breast enlargement is done on an outpatient basis under general anesthesia. A small incision is made under the breast and a saline breast implant is inserted under the breast tissue or under the breast tissue and the underlying muscle.

The patient goes home in an elastic bra. The bra helps hold the breasts in the correct position. Initial discomfort is controlled with oral medication. Sutures are placed under the skin and do not need to be removed. Light activities can be resumed as tolerated and aerobic activities can be started in about 3 weeks. Moving or sliding the implants within the breast pockets during the postoperative period may reduce the frequency of wrinkling.

You may be a candidate for breast lift surgery if you have sagging breasts due to past pregnancies, genetics, or aging. You may also desire a mastopexy if breast sagging is too great to be treated with an implant alone. The procedure may also be helpful if your nipple-areolar complexes (pigmented areas around nipples) are enlarged. Breast lift (mastopexy) is intended to give the patient an elevated, more youthful breast contour, as well as nipple-areolar complexes of the desired size and at the correct height. Breast lift is usually done on an outpatient basis under sedation and local or general anesthesia.

The design of the incisions can vary but usually include incisions around the nipple-areolar complex and in the crease under the breast. The nipple-areolar complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position. The insertion of an implant as well, may or may not be advisable. The patient goes home with only light dressings over the incision lines. Sutures are placed under the skin and do not need to be removed. Initial discomfort is easily controlled with oral medication. Light activities may be started in 7-10 days.

Women with very large, pendulous breasts may experience a variety of medical problems caused by the excessive weight-from back and neck pain and skin irritation to skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders. Unusually large breasts can make a woman-or a teenage girl-feel extremely self-conscious. Breast reduction, technically known as reduction mammaplasty, is designed for such women. The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer.

It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. If you’re considering breast reduction, this will give you a basic understanding of the procedure- when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances.